Organization
POTOMAC PHARMACY, INC.
Active
Organization
POTOMAC PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY W ROSEWEIR RPH (PRESIDENT)
(412) 531-8354
Entity
Organization
Contact information
Practice address
1600 POTOMAC AVE, PITTSBURGH, PA 15216-1980
(412) 531-8354
Mailing address
1600 POTOMAC AVE, PITTSBURGH, PA 15216-1980
(412) 531-8354
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411903L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012319330001
—
PA
Enumeration date
11/15/2006
Last updated
08/22/2020
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